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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Gone in Accordance�yiit6' <br />City Ordinance � -r <br />; � ' -` .. <br />Everett, Washington..........ti.:.f.�;••��•••••� 9•'�; <br />� <br />,{��� %� ) <br />Loc3ticn... .. �� �S � t! V".. �..2�'h-C ...��L. <br />� � <br />_ . _ _ __ <br />Owner .:. 111.i... � .- It�� �- �-- <br />I ����. . <br />_ <br />� � � <br />Applicant ..1. ..... ..... .Y ....... 1 ......... .... <br />- <br />Rough piping inspection - X -- <br />Pipe in excess of 60' _— Gas Stoves <br />Gas retrigerators ._-- - Gas water heaters � <br />Gas space heaters to 70,000 B.T.U. input — <br />Gas space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input .--� <br />Gas fumaces over 400,000 B,-T.l�. input __ <br />Conversion units to 400,000 B.T.U.input <br />Conversion units over 400,000 B.T.U, input —_ <br />Small, appliances___— -------- ' � „ - <br />----------•- ----•- -..._.___._—;� �p-- <br />Call Back Inspection ________._ FeePaid $ ,__�'_�___.- <br />__Appl i cant <br />By.. , - -----` � 1�:i� ���---LL�a� � � i ,� <br />-�,-- <br />Plans�approved and Pe�mit graeted as iequested'He�ein. <br />...�� s <br />�, , � , <br />�. <br />---_%.'_..-��; _ _Inspecror <br />6y - -- -���z�"��- -- - <br />PERMIT �I� �!;' � <br />